Alpha Pharm LLC

Key facts

NPI

1245711027

Entity type

Organization (NPI type 2)

Primary specialty

Pharmacy 333600000X

License

054020656 (IL)

Legal business name

ALPHA PHARM LLC

Practice address

1260 W Devon Ave
Chicago, IL 60660-1430

Phone

(773) 856-0944

Fax

(773) 856-0954

NPI assigned

Aug 28, 2018

Organization subpart

No

Authorized official

Name

Ephrem Melesse Gebremedhin, PHARMD NPI 1699242263

Title

Pharmd

Phone

(773) 963-1737

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Alpha Pharm LLC Long Term Care Pharmacy · Chicago, IL · NPI 1467219790
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ephrem Melesse Gebremedhin, PHARMD Pharmacist · Chicago, IL · NPI 1699242263
  NPD Authorized official

Medicare participation

Medicare fee-for-service enrollment

Enrolled in IL

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

Other names

• Chicago Healthmart Pharmacy Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 22, 2025.

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1245711027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601430",
            "telephone_number": "773-856-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601430",
            "telephone_number": "773-856-0944",
            "fax_number": "773-856-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA PHARM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-28",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "GEBREMEDHIN",
        "authorized_official_first_name": "EPHREM",
        "authorized_official_middle_name": "MELESSE",
        "authorized_official_title_or_position": "PHARMD",
        "authorized_official_telephone_number": "773-963-1737",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "054020656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chicago Healthmart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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